A Study on Assessment and Management of Pediatric Abdominal and Thoracic Trauma at A Tertiary Care Center
Iranian Journal of Pediatric Surgery,
Vol. 11 No. 2 (2025),
26 October 2025
,
Page 220 - 251
https://doi.org/10.22037/irjps.v11i2.47437
Abstract
Introduction- Trauma is the third common cause of death in children below the age of 14 years, worldwide. Systematic management of an injured child is essential to reduce mortality due to trauma. Differences between children and adults concerning patterns of injury, physiologic presentation, and management must be understood by the treating surgeon to address the special needs of the paediatric age group.
Materials and Methods- Present study is a Prospective Observational study conducted at Department of Pediatric Surgery, Niloufer Hospital, over a period of 2 years. 231 cases with blunt trauma to chest and abdomen were collected from the Trauma registry and prospectively studied based on the trauma questionnaire and treated according the ATLS protocols. The final statistical analysis was done using the Statistical Package of Social Sciences (SPSS software).
Results- Of the 231 cases, most of the injuries to the abdomen and/or chest were seen in the age group of 3-6yr and the boys in the age group of 6-9 years were injured more commonly. 45% injuries were due to RTA’s followed by fall from height. 12% cases presented to the department after 48hrs. Abdomen was the most common site of injury with Liver being injured in 25% cases and these cases were mostly managed conservatively. Overall, 30% of the cases underwent intervention in the form of surgery or tube thoracostomy placement. There was 2% mortality in the study.
Conclusion- Traumatic injuries being the major health problem need a properly framed trauma registry system and strict protocol-based management of injuries according to the concerned epidemiology and resource setting which would be beneficial for the treating surgeon, injured child and perhaps, the whole nation. This will enable properly triaged trauma management, reducing the burden.
- Splenic Injury
- Abdominal trauma
- Thoracic trauma
- Liver laceration
How to Cite
References
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